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Infertility/Fertility/SEMEN Assesment report (ASTHENO-TERATOzoospermia) query

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Question
Dear Concern.
It has been four years since i got marry. We are still waiting for the baby. We consulted various doctors, but didn't get any proper guidance. Below is my latest semen assessment report and i was asked to go for ICSI. i just need to confirm. is it possible for natural conception or not??Desperately waiting for the reply.

Comments: ASTHENO-TERATOzoospermia
         Not suitable for 24hrs sperm preparation

Volume: 6.5ml
Total Count: 23 million/ml
Motility: 30%

Sperm progression
F.Forward:00%
S.Forward:00%
Lateral 19%
Non Motile 11%
Dead 70 %

Sperm Morphology
Normal 00/100
Abnormal 100/100
Cephalic 98/100
Midpiece 59/100
Tail 38/100

Answer
Hello Sarib from Pakistan,

I think your doctor is correct.

Good Luck,

Dr. Edward J. Ramirez, M.D., FACOG
Executive Medical Director
The Fertility and Gynecology Center
Monterey Bay IVF Program
www.montereybayivf.com
info@montereybayivf.com

Monterey, California, U.S.A.

for additional information check out my blog at http://womenshealthandfertility.blogspot.com check me out on twitter with me at @montereybayivf and facebook @montereybayivf.  Skype and internet comprehensive consultations now available via my website for those who want a more extensive evaluation that this site can accommodate.  I also now provide an Email Concierge Advisory Service with a 1 year subscription for patients that want easy access to me to answer questions along their journey (women's health, infertility, pregnancy).  Contact me at ejrmd@montereybayivf.com if you are interested in continuous access to me.

Infertility/Fertility

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Edward Joseph Ramirez, MD, FACOG

Expertise

I am a specialist in infertility and advanced gynecological care. I can answer questions about infertility, gynecology related ills, menopause...virtually anything that affects women's health. PLEASE tell me where you are writing from as I am always interested.

Experience

I have been practicing as an Ob/Gyn and Infertility Specialist for over 23 years. Gynecology, advanced laparoscopic surgery, basic infertility, IUI's, IVF, reproductive surgery, and ovulation induction are all areas of my expertise. I am Board Certified. I have been doing In Vitro Fertilization in my clinic for 19 years.

Organizations
American College of OB/GYN, American Board of Obstetrics and Gynecology, American Society of Reproductive Medicine, Society of Assisted Reproductive Technology, American Association of Gynecologic Laparoscopists, Fellow of The American College of Obstetricians & Gynecologists,Resolve-National Chapter, Open Path - Northern California, Board of Directors Monterey Medical Society

Publications
American Journal of Obstetrics and Gynecology, Wall Street Journal, Monterey Herald, SERMO, Women's Health and Fertility Blog

Education/Credentials
Medical Degree from Stanford University, Residency at Tripler Army Medical Center, Reproductive Training at Pacific Fertility Center, San Francisco

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